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肝素类抗凝药不合理医嘱的帕累托分析

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目的 通过帕累托分析我院肝素类抗凝药不合理医嘱的主要因素,为肝素类抗凝药的合理使用提供参考.方法 收集2023年度我院住院肝素类抗凝药的不合理医嘱资料进行回顾性分析,通过帕累托图法分析不合理用药医嘱的主要因素、次要因素及一般因素.结果 11598份医嘱中分析出4种不合理医嘱类型,其中适应症不适宜(累积构成比为54.44%)为主要因素;按药物类别分类共4种,依诺肝素不合理医嘱(累积构成比为45.58%)为主要因素、肝素钠注射液不合理医嘱(累积构成比为85.54%)为次要因素.结论 应用帕累特图分析可以方便,快速的甄别出不合理用药医嘱的主要因素主要因素、次要因素为合理用药及医嘱干预提供依据.
Pareto Analysis of Unreasonable Prescriptions for Heparin Anticoagulants
OBJECTIVE To analyze the main factors of unreasonable prescriptions for heparin anticoagulants in our hospital using Pareto analysis and provide references for rational use of heparin anticoagulants.METHODS Da-ta on unreasonable prescriptions for inpatient heparin anticoagulants in our hospital in 2023 were collected for retro-spective analysis.The main factors,secondary factors,and general factors of unreasonable medication prescriptions were analyzed using the Pareto chart method.RESULTS Among 11,598 prescriptions,four types of unreasonable prescriptions were identified.Inappropriate indications(with a cumulative proportion of 54.44%)were the main fac-tor;among different drug categories,enoxaparin had the highest rate of unreasonable prescriptions(with a cumulative proportion of 45.58%)as the main factor,followed by heparin sodium injection(with a cumulative proportion of 85.54%)as the secondary factor.CONCLUSION Applying Pareto chart analysis can conveniently and quickly i-dentify the main and secondary factors of unreasonable medication prescriptions,providing a basis for rational drug use and medical intervention.

Heparin AnticoagulantsUnreasonable PrescriptionsPareto AnalysisRational Medication Use

余知妍、陈少壮、曹畅、王伟萍

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复旦大学附属中山医院厦门医院,福建厦门 361015

肝素类抗凝药 不合理医嘱 帕累托分析 合理用药

2024

海峡药学
中国药学会福建分会

海峡药学

影响因子:0.643
ISSN:1006-3765
年,卷(期):2024.36(11)